Revenue Cycle Manager

Quad Cities Region•Davenport, IA

18h•Onsite

About The Position

The Group Obstetrics & Gynecology Specialists, P.C. in Davenport, Iowa, is looking for an experienced, motivated, and results-driven Revenue Cycle Manager to join our leadership team. This isn't just another billing management position. We're looking for a leader who wants to take ownership of the revenue cycle, develop a strong team, identify opportunities, and help shape the financial success of our growing practice. As our Revenue Cycle Manager, you'll work directly with our Executive Director, physicians, and department leaders to strengthen revenue cycle operations, improve reimbursement, and drive meaningful results. The Revenue Cycle Manager is responsible for the leadership, performance, and continuous improvement of the practice revenue cycle. This position oversees billing, coding, insurance follow-up, collections, payment posting, accounts receivable, and related functions to ensure accurate and timely reimbursement. In a small private OB/GYN practice, the Revenue Cycle Manager is both a department leader and a hands-on resource, working closely with physicians, providers, clinical and administrative teams to improve collections, reduce reimbursement delays, strengthen charge capture, maintain compliance, and optimize financial performance.

Requirements

Minimum of 5 years of progressive medical billing, coding, or healthcare revenue cycle experience required.
Minimum of 2-3 years of supervisory, management, or significant lead experience strongly preferred.
Experience with billing, coding, accounts receivable, denials, insurance follow-up, and collections required.
Physician practice experience strongly preferred; OB/GYN, women health, surgical specialty, or other specialty-practice experience preferred.
Professional coding or revenue cycle certification such as CPC, CCS, CPB, CPPM, CRCR, CHFP, or equivalent preferred.
In-depth knowledge of ICD-10, CPT, HCPCS, modifiers, insurance billing guidelines, payer requirements, and medical necessity.
Strong understanding of EHR/EMR, practice-management, clearinghouse, payer portal, and medical billing systems.
Demonstrated ability to analyze revenue cycle data, identify trends and root causes, and implement measurable improvements.
Excellent leadership, organizational, analytical, problem-solving, and communication skills.
Ability to handle sensitive information with confidentiality and professionalism.
Ability to read and comprehend instructions, payer communications, policies, contracts, reports, and regulatory guidance.
Ability to prepare clear correspondence, procedures, reports, and staff or provider education.
Ability to effectively present information to physicians, providers, leadership, employees, patients, payers, and outside organizations.
Ability to compute and interpret rates, ratios, percentages, trends, collection performance, aging, and other revenue cycle metrics.
Ability to review and interpret financial and operational reports and communicate findings clearly.
Ability to analyze complex billing, coding, payer, workflow, and reimbursement issues and determine appropriate corrective action.
Ability to identify root causes, prioritize competing issues, exercise sound judgment, and escalate significant financial or compliance concerns appropriately.
Must maintain working familiarity with ICD-10, CPT and HCPCS coding systems, CMS claim requirements, and applicable payer billing guidelines.

Nice To Haves

Bachelor’s degree in healthcare administration, business, finance, health information management, or related field preferred.
Significant directly related experience may be considered in lieu of a degree.
Professional coding or revenue cycle certification preferred.

Responsibilities

Provide leadership and oversight of charge capture, coding, claim submission, payment posting, insurance follow-up, denial management, patient collections, accounts receivable, and related workflows.
Oversee billing and coding functions, establish department goals and procedures, and ensure smooth daily operations that support timely and accurate reimbursement.
Supervise billing, coding, insurance, collections, and other assigned Business Department staff; provide coaching, training, scheduling, performance evaluations, and accountability.
Maintain hands-on knowledge of department functions and provide coverage or direct assistance with billing, coding, collections, denials, and complex account resolution when needed.
Ensure accurate coding using current ICD-10, CPT, HCPCS, modifier, payer, and regulatory guidelines.
Maintain strong knowledge of OB/GYN-specific billing and coding, including obstetrical/global care, gynecologic services, procedures, surgeries, diagnostic services, and other services provided by the practice.
Work with providers and clinical staff to address documentation, coding, charge capture, medical necessity, and other issues affecting reimbursement.
Monitor claim generation, timely filing, clean claim rates, rejected and denied claims, and payer response; identify recurring issues and implement corrective action.
Investigate missing, late, or incorrect charges and ensure appropriate resolution before revenue is lost.
Monitor accounts receivable and aging by payer, provider, service, and aging category; establish expectations for timely account follow-up.
Identify and pursue underpayments, payer discrepancies, missed reimbursement opportunities, and other sources of revenue leakage.
Review adjustments, write-offs, refunds, credits, and other account activity for accuracy and compliance with practice policy.
Serve as the escalation point and subject matter expert for complex billing, coding, payer, denial, and patient-account issues.
Develop and monitor key indicators including net collections, days in A/R, A/R over 90 days, clean claim rate, denial rate, charge lag, payment posting timeliness, payer performance, write-offs, and staff productivity.
Analyze revenue cycle reports and trends, identify root causes affecting reimbursement, and present findings and recommended actions to leadership.
Develop and implement strategies to increase legitimate net collections, reduce avoidable denials, improve A/R performance, accelerate reimbursement, and improve department efficiency.
Provide leadership with regular revenue cycle updates, including trends, financial risks, payer concerns, progress toward goals, and measurable results.
Participate in hiring, onboarding, training, development, performance management, and disciplinary processes for assigned staff.
Develop, update, and communicate billing, coding, collections, and revenue cycle policies, procedures, workflows, and training resources.
Conduct or coordinate periodic billing, coding, documentation, and account audits and implement education or corrective action when concerns are identified.
Maintain current knowledge of Medicare, Medicaid, commercial payer requirements, CPT, ICD-10, HCPCS, and applicable billing and reimbursement regulations.
Serve as the department subject matter expert for the EHR/EMR, practice-management system, clearinghouse, payer portals, and related revenue cycle technology.
Work with IT, vendors, clearinghouses, payers, and external partners to resolve system or reimbursement issues.
Partner with physicians, providers, clinical leadership, front office, and administration to improve workflows affecting registration, insurance, documentation, charge capture, billing, and collections.
Educate providers and staff regarding documentation, coding, payer requirements, charge capture, and other revenue cycle matters.
Identify opportunities for process improvement, automation, workflow redesign, and legitimate revenue enhancement and lead approved initiatives.
Maintain confidentiality and protect patient, employee, provider, and financial information in accordance with HIPAA and practice policy.